Ronald McDonald House Charities of Oregon & Southwest Washington

Patient Information 
To add additional patients, enter the information in the Additional Guests / Family Members section below and select the ‘patient’ relationship.
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Patient Preferred Name
Patient Preferred Pronouns
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For Fetal Care patients, please put the child’s expected date of delivery
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Inpatient - Hospitalized   Outpatient - Non-Hospitalized   Both, during this stay.

Oregon Health Plan OHP Medicaid Information

While Ronald McDonald House Charities RMHC does not charge a fee or ask families to pay for their stay, we do work closely with state Medicaid (Oregon Health Plan OHP, Washington, Alaska and Idaho State Medicaid) to obtain lodging reimbursement for a family's stay. This funding helps RMHC ensure families are able to stay at no cost. If the patient is still in utero or a newborn, the parents medicaid information can be entered in.
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Reservation Request
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Appointment Time AM/PM (If there are multiple appointments, please enter in the 1st one)
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Guardian Contact Information

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Guardian Preferred Name
Guardian Preferred Pronouns
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I agree to receive texts at this number.
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Do you consent to the guest service team contacting you via text? (message and data rates may apply)
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Guardian 2 Preferred Name
Guardian 2 Preferred Pronouns
I agree to receive texts at this number.
Do you consent to the guest service team contacting you via text? (message and data rates may apply)
Additional Guests / Family Members

Add Another Guest
Additional Information
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U.S. / Canadian Postal Code lookup


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Please enter the name and phone number of someone who is NOT going to be staying at the Ronald McDonald House.
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No   Yes
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Does the family require an ADA Room?
We will do our best to accomodate, this is not guaranteed. Please reach out to the guest service team to check on availability after you submit your request. Bend.house@rmhcoregon.org.